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It is important to note, however, that sex work is different from sexual exploitation, or the forcing of a person to commit sexual acts, in that sex work is voluntary "…and is seen as the commercial exchange of sex for money or goods" In an attempt to further clarify the broad term that "sex work" is, John E.Exner, an American psychologist, worked with his fellow colleagues to create five distinct classes for categorizing sex workers.Phone sex operators have sexually-oriented conversations with clients, and do auditive sexual roleplay.Other sex workers are paid to engage in live sexual performance, such as webcam sex and performers in live sex shows.

In addition, finding a representative sample of sex workers in a given city can be nearly impossible because the size of the population itself is unknown.These motives also align with varying climates surrounding sex work in different communities and cultures. Sex work can take the form of prostitution, stripping or lap dancing, performance in pornography, phone or internet sex, or any other exchange of sexual services for financial or material gain.The variety in the tasks encompassed by sex work lead to a large range in both severity and nature of risks that sex workers face in their occupations.Thus, although the term sex worker is sometimes viewed as a synonym or euphemism for "prostitute", it is more general.Sex worker can refer to individuals who do not directly engage in sexual activity such as pole dancers and sex toy testers.

One scholarly article details the classes as follows: "specifically, the authors articulated Class I, or the upper class of the profession, consisting of call girls; Class II was referred to as the middle class, consisting of 'in-house girls' who typically work in an establishment on a commission basis; Class III, the lower middle class, were 'streetwalkers' whose fees and place of work fluctuate considerably; Class IV sex workers have been known as 'commuter housewives', and they are typically involved in sex work to supplement family income; and Class V consists of 'streetwalker addicts', or 'drugs-for-sex streetwalkers' who are considered the lower class of the profession".